Effect of Thermotherapies Associated with Hamstring Stretching in Peak Torque: Randomized Clinical Trial
Abstract
Background: Stretching is an effective strategy used mainly to reduce muscle stiffness, and increase both flexibility and Range of Motion. Aim: To compare the effects of different thermotherapy modalities associated with static stretching on peak torque (PT) of knee flexor muscles. Methods: This study compared a sample of 34 healthy men, aged between 20 and 30 years, with active knee range of motion (ROM) ≤160 degrees. They were subjected to three sessions of static stretching of the hamstrings, either with or without a thermotherapy modality. The order of interventions was randomized for one of the groups: isolated stretching (IS), stretching with heat (SH), and stretching with cold (SC). The concentric and eccentric PTs were assessed pre and post-intervention. Results: In the comparison of PT among different measures, there was a significant decrease in eccentric and concentric PT of knee flexor muscles in IS, in eccentric PT of knee flexor muscles in SH, and in eccentric and concentric PT of knee flexors in SC groups. Conclusion: Regardless of the use of thermotherapy, one single session of static stretching resulted in decreased PT of knee flexor muscles. This is probably due to the effects of stretching, such as the immediate change of the elastic component of the muscle-tendon unit, which leads to a deficit in acute force production.
References
Afonso, J., Clemente, FM, Nakamura, FY, Morouço, P., Sarmento, H., Inman, RA, & Ramirez-Campillo, R. (2021). The Effectiveness of Post-exercise Stretching in Short-Term and Delayed Recovery of Strength, Range of Motion and Delayed Onset Muscle Soreness: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Physiol, 12, 677581. https://doi.org/10.3389/fphys.2021.677581
Alvares, J., Rodrigues, R., Franke, R., Silva, C., Pinto, R., & Vaz, M. (2015). Intermachine reliability of the Biodex and Cybex isokinetic dynamometers for knee flexor/extensor isometric, concentric and eccentric tests. Phys Ter Sport., 16(1), 59-65. https://doi.org/10.1016/j.ptsp.2014.04.004
Alves, M., Nogueira, A., Santos, W., & Oliveira, L. (2015). Efeito agudo do alongamento estático no pico de torque dos músculos isquiotibiais. 2do. Congr. Int. Atividade Física, Nutr. e Saúde, 3, 29-43. https://eventos.set.edu.br/CIAFIS/article/view/3264
Andrade Filho, JHC, Santo, TCSE, Facó, SGG, Magalhães, AT, Silva, BAK, Minghini, BV, Silva, CS, & Cardoso, VS (2016). A influência da termoterapia no ganho de flexibilidade dos músculos isquiotibiais. [The influence of thermotherapy in the flexibility gain of the hamstring muscles. La influencia de la termoterapia en la flexibilidad de los músculos isquiotibiales]. Revista Brasileira de Medicina do Esporte, 22(3), 227-230. https://doi.org/10.1590/1517-869220162203136164
Begovic, H., Can, F., Yağcioğlu, S., & Ozturk, N. (2018). Passive stretching-induced changes detected during voluntary muscle contractions. Physiother Theory Pract, 36(6), 731-740. https://doi.org/10.1080/09593985.2018.1491660
Biodex System 4 Pro. Applications/Operations. Biodex Medical Systems, Inc. https://www.biodex.com/sites/default/files/s2s_apman_90317.pdf
Bleakley, C.M., & Costello, J.T. (2013). Do thermal agents affect range of movement and mechanical properties in soft tissues? A systematic review. Arch Phys Med Rehabil, 94(1), 149-163. https://doi.org/10.1016/j.apmr.2012.07.023
Bley, A.S., Nardi, P.S., & Marchetti, P.H. (2012). Alongamento passivo agudo não afeta a atividade muscular máxima dos ísquiotibiais. Motricidade, 8(4), 80-86. https://doi.org/10.6063/motricidade.1555
Brasileiro, J.S., Faria, A.F., & Queiroz, L.L. (2007). Influência do resfriamento e do aquecimento local na flexibilidade dos músculos isquiotibiais. [Influence of local cooling and warming on the flexibility of the hamstring muscles]. Brazilian Journal of Physical Therapy, 11(1), 57-61. https://doi.org/10.1590/S1413-35552007000100010
Busarello, F. de O., Souza, F. T. de, Paula, G. F. de, Vieira, L., Nakayama, G. K., & Bertolini, G.R.F. (2011). Ganho de extensibilidade dos músculos isquiotibiais comparando o alongamento estático associado ou não à crioterapia. Fisioterapia em Movimento, 24, 247-254. https://doi.org/10.1590/S0103-51502011000200006
Dohnert, M.B., Oliveira, M. dos S., & Hoffmann, R.F. (2017). Efeito agudo da crioterapia e diatermia na flexibilidade e força muscular de isquiotibiais. Ciência & Saúde, 10(2). https://doi.org/10.15448/1983-652X.2017.2.24474
Draper, D.O., Castro, J.L., Feland, B., Schulthies, S., & Eggett, D. (2004). Shortwave diathermy and prolonged stretching increase hamstring flexibility more than prolonged stretching alone. J Orthop Sports Phys Ther, 34(1), 13-20. https://doi.org/10.2519/jospt.2004.34.1.13
Elnaggar, M., Elhafez, H., Elhabashy, H., Sedhom, M., & Shokri, D. (2017). Effect of Pulsed Shortwave Diathermy on Average Isometric Peak Torque of Quadriceps Muscle in Normal Subjects. International Journal of Therapies and Rehabilitation Research, 6(2), 53-59. https://buc.edu.eg/directory/wp-content/uploads/2018/07/1.pdf
Ferrari, G., & Arroyo, C.T. (2013). Efeito de Treinamentos de Flexibilidade Sobre a Força e o Torque Muscular: Uma Revisão Crítica. Revista Brasileira de Ciência e Movimento, 21(2), 151-162, https://www.researchgate.net/publication/290293805
Hatano, G., Suzuki, S., Matsuo, S., Kataura, S., Yokoi, K., Fukaya, T., Fujiwara, M., Asai, Y, & Iwata, M. (2017). Hamstring Stiffness Returns More Rapidly After Static Stretching Than Range of Motion, Stretch Tolerance, and Isometric Peak Torque. J Sport Rehabil, 28(4), 325-331. https://doi.org/10.1123/jsr.2017-0203
Hotta, K., Behnke, BJ, Arjmandi, B., Ghosh, P., Chen, B., Brooks, R., Maraj, JJ, Elam, ML, Maher, P., Kurien, D., Churchill, A., Sepulveda, JL, Kabolowsky, MB, Christou, DD, & Muller-Delp, JM (2018). Daily muscle stretching enhances blood flow, endothelial function, capillarity, vascular volume and connectivity in aged skeletal muscle. J Physiol, 596(10), 1903-1917. https://doi.org/10.1113/jp275459
Kataura, S., Suzuki, S., Matsuo, S., Hatano, G., Iwata, M., Yokoi, K., Wakako, T., Yasuhiro, B., & Asai, Y. (2017). Acute Effects of the Different Intensity of Static Stretching on Flexibility and Isometric Muscle Force. J Strength Cond Res, 31(12), 3403-3410. https://doi.org/10.1519/JSC.0000000000001752
Kay, A.D., & Blazevich, A.J. (2012). Effect of acute static stretch on maximal muscle performance: a systematic review. Med Sci Sports Exerc, 44(1), 154-164. https://doi.org/10.1249/MSS.0b013e318225cb27
Kujawski, S., Słomko, J., Godlewska, BR, Cudnoch-Jędrzejewska, A., Murovska, M., Newton, JL, Sokolowski, L., & Zalewski, P. (2022). Combination of whole body cryotherapy with static stretching exercises reduces fatigue and improves functioning of the autonomic nervous system in Chronic Fatigue Syndrome. J Transl Med, 20(1), 273. https://doi.org/10.1186/s12967-022-03460-1
Lim, K.I., Nam, H.C., & Jung, K.S. (2014). Effects on hamstring muscle extensibility, muscle activity, and balance of different stretching techniques. J Phys Ther Sci, 26(2), 209-213. https://doi.org/10.1589/jpts.26.209
Lima, CD, Brown, LE, Wong, MA, Leyva, WD, Pinto, RS, Cadore, EL, & Ruas, CV (2016). Acute Effects of Static vs. Ballistic Stretching on Strength and Muscular Fatigue Between Ballet Dancers and Resistance-Trained Women. J Strength Cond Res, 30(11), 3220-3227, 3220-3227. https://doi.org/10.1519/JSC.0000000000001606
Magalhaes, FE, Junior, AR, Meneses, HT, Moreira Dos Santos, RP, Rodrigues, EC, Gouveia, SS, Gouveia, GPM, Orsini, M., Bastos, VHV, & Machado DC (2015). Comparison of the effects of hamstring stretching using proprioceptive neuromuscular facilitation with prior application of cryotherapy or ultrasound therapy. J Phys Ther Sci, 27(5), 1549-1553. https://doi.org/10.1589/jpts.27.1549
Mahmood, S., Sawatsky, A., & Herzog, W. (2021). Increased force following muscle stretching and simultaneous fibre shortening: Residual force enhancement or force depression - That is the question? J Biomech, 116, 110216. https://doi.org/10.1016/j.jbiomech.2020.110216
Marek, SM, Cramer, JT, Fincher, AL, Massey, LL, Dangelmaier, SM, Purkayastha, S., Fitz, KA, Culbertson, JY (2005). Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching on Muscle Strength and Power Output. J Athl Train, 40(2), 94-103. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1150232/
Notarnicola, A., Perroni, F., Campese, A., Maccagnano, G., Monno, A., Moretti, B., & Tafuri, S. (2017). Flexibility responses to different stretching methods in young elite basketball players. Muscles Ligaments Tendons J, 7(4), 582-589. https://doi.org/10.11138/mltj/2017.7.4.582
Rosario, J.L., & Foletto, A. (2015). Comparative study of stretching modalities in healthy women: heating and application time. J Bodyw Mov Ther, 19(1), 3-7. https://doi.org/10.1016/j.jbmt.2013.12.003
Schleder, J.C., Müller, A., Fernandes, W.V.B., & Capote, A.E. (2016). Effects of cryotherapy and microwave diathermy on the strength production capacity of elbow flexors in healthy men. Revista Brasileira de Cineantropometria & Desempenho Humano, 18(3), 332-340. http://dx.doi.org/10.5007/1980-0037.2016v18n3p332
Simic, L., Sarabon, N., & Markovic, G. (2013). Does pre-exercise static stretching inhibit maximal muscular performance? A meta-analytical review. Scand J Med Sci Sports, 23(2), 131-148. https://doi.org/10.1111/j.1600-0838.2012.01444.x
Souza, R.H., Greco, C.C., & Denadai, B.S. (2015). A taxa de desenvolvimento de força durante contrações isocinéticas dos extensores do joelho não é afetada pelo alongamento estático em indivíduos ativos. Revista Brasileira de Ciências do Esporte, 37, 400-406.
Su, H., Chang, N.J., Wu, W.L., Guo, L.Y., & Chu, I.H. (2017). Acute Effects of Foam Rolling, Static Stretching, and Dynamic Stretching During Warm-ups on Muscular Flexibility and Strength in Young Adults. J Sport Rehabil, 26(6), 469-477. https://doi.org/10.1123/jsr.2016-0102
Thomas, E., Bianco, A., Paoli, A., & Palma, A. (2018). The Relation Between Stretching Typology and Stretching Duration: The Effects on Range of Motion. Int J Sports Med, 39(4), 243-254. https://doi.org/10.1055/s-0044-101146
Torres, R., Silva, F., Pedrosa, V., Ferreira, J., & Lopes, A. (2017). The Acute Effect of Cryotherapy on Muscle Strength and Shoulder Proprioception. J Sport Rehabil, 26(6), 497-506. https://doi.org/10.1123/jsr.2015-0215
Wang, Y., Chen, C., Huang, Z., & Cheng, H. (2016). Acute effects of active dynamic, static stretching and passive static stretching exercise on hamstrings flexibility and muscle strength. World Academy of Science, Engineering and Technology, International Journal of Sport and Exercise Sciences.
Wang, Y., Ikeda, S., & Ikoma, K. (2021). Passive repetitive stretching is associated with greater muscle mass and cross-sectional area in the sarcopenic muscle. Sci Rep, 11(1), 15302. https://doi.org/10.1038/s41598-021-94709-0
Xiao, J. (2020). Physical Exercise for Human Health. In: W.E. Crusio, H. Dong, H.H. Radeke, N. Rezaei, O. Steinlein, J. Xiao (Eds.), Advances in Experimental Medicine and Biology (Vol. 1). Springer Nature. https://doi.org/https://doi.org/10.1007/978-981-15-1792-1
Author Biographies
http://lattes.cnpq.br/4893975155998185
http://lattes.cnpq.br/6542905487531999
http://lattes.cnpq.br/6780172968619561
http://lattes.cnpq.br/4034906999944798
http://lattes.cnpq.br/5823217375643598
http://lattes.cnpq.br/0753700791326765
http://lattes.cnpq.br/3382604380000494
Copyright (c) 2023 Lecturas: Educación Física y Deportes
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.